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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 217 records · Page 12
All sourcesNASA NTRSDOE OSTI
NASA NTRS2013

Influence of UAS Pilot Communication and Execution Delay on Controller's Acceptability Ratings of UAS-ATC Interactions

Successful integration of UAS in the NAS will require that UAS interactions with the air traffic management system be similar to interactions between manned aircraft and air traffic management. For example, UAS response times to air traffic controller (ATCo) clearances should be equivalent to those that are currently found to be acceptable with manned aircraft. Prior studies have examined communication delays with manned aircraft. Unfortunately, there is no analogous body of research for UAS. The goal of the present study was to determine how UAS pilot communication and execution delays affect ATCos' acceptability ratings of UAS pilot responses when the UAS is operating in the NAS. Eight radar-certified controllers managed traffic in a modified ZLA sector with one UAS flying in it. In separate scenarios, the UAS pilot verbal communication and execution delays were either short (1.5 s) or long (5 s) and either constant or variable. The ATCo acceptability of UAS pilot communication and execution delays were measured subjectively via post trial ratings. UAS verbal pilot communication delay, were rated as acceptable 92% of the time when the delay was short. This acceptability level decreased to 64% when the delay was long. UAS pilot execution delay had less of an influence on ATCo acceptability ratings in the present stimulation. Implications of these findings for UAS in the NAS integration are discussed.

communication↗
NASA NTRS2015

How To Make the Most of Your Human: Design Considerations for Single Pilot Operations

Reconsidering the function allocation between automation and the pilot in the flight deck is the next step in improving aviation safety. The current allocation, based on who does what best, makes poor use of the pilot's resources and abilities. In some cases it may actually handicap pilots from performing their role. Improving pilot performance first lies in defining the role of the pilot - why a human is needed in the first place. The next step is allocating functions based on the needs of that role (rather than fitness), then using automation to target specific human weaknesses in performing that role. Examples are provided (some of which could be implemented in conventional cockpits now). Along the way, the definition of human error and the idea that eliminating/automating the pilot will reduce instances of human error will be challenged.

Schutte, Paul C.↗
NASA NTRS2016

Effects of Different Heave Motion Components on Pilot Pitch Control Behavior

The study described in this paper had two objectives. The first objective was to investigate if a different weighting of heave motion components decomposed at the center of gravity, allowing for a higher fidelity of individual components, would result in pilot manual pitch control behavior and performance closer to that observed with full aircraft motion. The second objective was to investigate if decomposing the heave components at the aircraft's instantaneous center of rotation rather than at the center of gravity could result in additional improvements in heave motion fidelity. Twenty-one general aviation pilots performed a pitch attitude control task in an experiment conducted on the Vertical Motion Simulator at NASA Ames under different hexapod motion conditions. The large motion capability of the Vertical Motion Simulator also allowed for a full aircraft motion condition, which served as a baseline. The controlled dynamics were of a transport category aircraft trimmed close to the stall point. When the ratio of center of gravity pitch heave to center of gravity heave increased in the hexapod motion conditions, pilot manual control behavior and performance became increasingly more similar to what is observed with full aircraft motion. Pilot visual and motion gains significantly increased, while the visual lead time constant decreased. The pilot visual and motion time delays remained approximately constant and decreased, respectively. The neuromuscular damping and frequency both decreased, with their values more similar to what is observed with real aircraft motion when there was an equal weighting of the heave of the center of gravity and heave due to rotations about the center of gravity. In terms of open- loop performance, the disturbance and target crossover frequency increased and decreased, respectively, and their corresponding phase margins remained constant and increased, respectively. The decomposition point of the heave components only had limited effects on pilot manual control behavior and performance.

manual control↗
NASA NTRS2014

Pilot Evaluation of a UAS Detect-and-Avoid System's Effectiveness in Remaining Well Clear

Unmanned aircraft will equip with a detect-and-avoid (DAA) system that enables them to comply with the requirement to "see and avoid" other aircraft, an important layer in the overall set of procedural, strategic and tactical separation methods designed to prevent mid-air collisions. Regulators will establish minimum operating standards for DAA effectiveness, but different combinations of algorithms, displays and procedures could be used to meet those standards. The research presented in this paper indicates the effectiveness of the combined pilot-DAA system as a function of the DAA design requirements and provides data that may be used to model the behavior of pilots when employing such systems. Two simulations involving 21 professional unmanned aircraft system (UAS) pilots evaluated eight different DAA system designs in order to assess their ability to maintain the "well clear" separation standard, i.e., the state of maintaining a safe distance from other aircraft that would not normally cause the initiation of a collision avoidance maneuver by either aircraft. When the traffic display was integrated with the primary mission map directly in front of the pilot, there were fewer losses of well clear. Greater warning time provided to the pilot was strongly correlated with success in remaining well clear. Pilots' ability to separate from aircraft with cooperative and non-cooperative surveillance systems was nearly the same after accounting for the amount of alert time provided in each encounter, although the limited surveillance volume for the airborne-equipped aircraft meant alerts tended to occur later and therefore were more difficult to resolve.

detect-and-avoid↗
NASA NTRS2020

Monitoring for Flight Path Management: Inputs to Pilot Monitoring Training

The commercial aviation industry world-wide has identified a need for improved pilot monitoring (e.g., ICAO, 2016). More specifically, aviation safety data indicate that failures in pilots' monitoring for flight path management (FPM) have contributed to a range of undesired outcomes: accidents, major upsets, and non-compliance with ATC guidance. The FAA has further stated that these types of FPM failures are likely to worsen with the increasingly complex air traffic control systems and FPM concepts proposed for NextGen (https://www.faa.gov/nextgen/what_is_nextgen/) operations (e.g., see Hah et al., 2017). An important element of this additional complexity will be the introduction of new automation or artificial intelligence that is intended to work with the flight crew but can add additional monitoring burdens. One potential mitigation for this situation is to enhance pilot training for effective monitoring. NASA Ames Research Center was asked to identify and evaluate training approaches that have the potential to enhance pilots' ability to effectively monitor for FPM (with the result of improved awareness). The focus of this work is to identify, develop or validate training guidance to improve pilot monitoring/awareness regarding FPM and mitigate the recent trend of accidents and incidents, especially Loss of Control (LOC) events. The result of this work should be guidance for FAA training and standards organizations—such as the Air Carrier Training Aviation Rulemaking Committee (ACT ARC)—to aid in reducing the risk of incidents and accidents due to inadequate pilot monitoring/awareness.

Feary, Mike↗
NASA NTRSDate not supplied

Pilot Controls for a Hybrid Turbine-Electric 17 Engine Aircraft

NASA is exploring the development of a 180-passenger subsonic single engine aft turbine aircraft where the aft turbine provides electric power in a hybrid design to wing mounted electric engines. A pilot-in-the-loop study was conducted at Langley Research Center in Hampton, Virginia to explore the design of a flight deck for the hybrid electric aircraft with 16 wing fans and an aft mounted turbine engine. Current flight deck designs provide control inceptors for each propulsion engine and display of all engine parameters for all primary aircraft engines. Automation trends and increasing automation in flight controls and throttle controls indicate less controls instead of more. The design team researched state-of-the-art and recommended study of three, two, and one throttle levers. Engine displays were researched and two were recommended for initial evaluation. 16 airline pilots evaluated the three throttle configurations and two engine display options. Engine failures for known probable indications were evaluated against all throttle and display configurations. This included one, four symmetric, eight non-symmetric, and sixteen momentary electric engine failures with the loss of the aft turbine. The turbine engine was evaluated for complete and partial failure during critical phases of takeoff as well as enroute. This paper details the pilot study including pilot comments supporting the potential for increased automation and a single throttle control. Detailed recommendations are provided for a novel single throttle control and additional pilot controls to support selection of engines during start, shutdown, and engine troubleshooting procedures. This design deviates significantly from current practice of providing throttles for each propulsion engine. Engine display recommendations are provided based on pilot feedback during a guided post-evaluation interview. Recommendations for future study are documented with supporting research and current observations about upcoming flight deck certifications.

autothrottle↗
NASA NTRSDate not supplied

Pilot Controls for a Hybrid Turbine-Electric 17-Engine Aircraft

NASA is exploring the development of a 180-passenger subsonic single engine aft turbine aircraft where the aft turbine provides electric power in a hybrid design to wing mounted electric engines. A pilot-in-the-loop study was conducted at Langley Research Center in Hampton, Virginia to explore the design of a flight deck for the hybrid electric aircraft with 16 wing fans and an aft mounted turbine engine. Current flight deck designs provide control inceptors for each propulsion engine and display of all engine parameters for all primary aircraft engines. Automation trends and increasing automation in flight controls and throttle controls indicate less controls instead of more. The design team researched state-of-the-art and recommended study of three, two, and one throttle levers. Engine displays were researched and two were recommended for initial evaluation. 16 airline pilots evaluated the three throttle configurations and two engine display options. Engine failures for known probable indications were evaluated against all throttle and display configurations. This included one, four symmetric, eight non-symmetric, and sixteen momentary electric engine failures with the loss of the aft turbine. The turbine engine was evaluated for complete and partial failure during critical phases of takeoff as well as enroute. This presentation details the pilot study including pilot comments supporting the potential for increased automation and a single throttle control. Detailed recommendations are provided for a novel single throttle control and additional pilot controls to support selection of engines during start, shutdown, and engine troubleshooting procedures. This design deviates significantly from current practice of providing throttles for each propulsion engine. Engine display recommendations are provided based on pilot feedback during a guided post-evaluation interview. Recommendations for future study are documented with supporting research and current observations about upcoming flight deck certifications.

autothrottle↗
NASA NTRSDate not supplied

Training the Powered-Lift Evaluation Pilot

This poster describes a project to prepare pilots for a study assessing novel aircraft automation concepts for electric Vertical Takeoff and Landing (eVTOL) aircraft using NASA’s Vertical Motion Simulator (VMS). By exploring the operational and learning challenges related to transitioning between forward flight and vertical landing, we seek to establish baselines of pilot workload and aircraft handling qualities across varying atmospheric conditions and automation states. The simulated eVTOL design differentiates flight control allocations as a function of airspeed across four speed ranges as the vehicle transitions between fully thrust-borne lift and wing-borne lift. As speed increases, side stick controls command: translational ground speeds, vertical and lateral acceleration, vertical rate, vertical flight path angle, and bank angle. This novel approach to flight control allocation creates a significant learning challenge for pilots. Since initial eVTOL aircraft may have limitations on hover capabilities, automation and flight guidance cues also vary with airspeed to provide efficient landing profiles while still providing cues suitable for cruise flight. The NASA team prepared the study pilots to follow these flight guidance cues along curved Required Navigation Performance (RNP) approaches and along 6o and 12o glide paths to energy-efficient assistive-hover landing and goarounds. The pre-VMS preparation sought to prepare pilots from diverse levels of experience and background. To do this, NASA researchers designed and developed a fixed-based, large field-ofview simulator with terrain, structures, and air traffic. With one day of combined classroom learning and skill development in the fixedbase simulator, pilots were largely able to fly the simulated eVTOL in the VMS with sufficient mastery to provide handling quality assessments using the Cooper-Harper Handling Qualities Rating and workload assessments through the Bedford Workload Scale.

AAM↗
NASA NTRS2016

The Cognitive Challenges of Flying a Remotely Piloted Aircraft

A large variety of Remotely Piloted Aircraft (RPA) designs are currently in production or in development. These aircraft range from small electric quadcopters that are flown close to the ground within visual range of the operator, to larger systems capable of extended flight in airspace shared with conventional aircraft. Before RPA can operate routinely and safely in civilian airspace, we need to understand the unique human factors associated with these aircraft. The task of flying an RPA in civilian airspace involves challenges common to the operation of other highly-automated systems, but also introduces new considerations for pilot perception, decision-making, and action execution. RPA pilots participated in focus groups where they were asked to recall critical incidents that either presented a threat to safety, or highlighted a case where the pilot contributed to system resilience or mission success. Ninety incidents were gathered from focus-groups. Human factor issues included the impact of reduced sensory cues, traffic separation in the absence of an out-the-window view, control latencies, vigilance during monotonous and ultra-long endurance flights, control station design considerations, transfer of control between control stations, the management of lost link procedures, and decision-making during emergencies. Some of these concerns have received significant attention in the literature, or are analogous to human factors of manned aircraft. The presentation will focus on issues that are poorly understood, and have not yet been the subject of extensive human factors study. Although many of the reported incidents were related to pilot error, the participants also provided examples of the positive contribution that humans make to the operation of highly-automated systems.

remote pilot station↗
DOE OSTI2025

Design of Experiments for Dynamic Test Runs in Solvent-Based CO 2 Capture Pilot Plants

Test runs in the pilot plants consume significant resources, and therefore, the learning from test runs should be maximized. Test runs conducted in the pilot plants are often steady state. It takes several hours for reaching steady-state in the pilot plants, and thus, the duration of the test runs needs to be long even for collecting few steady-state data points. On the other hand, a large number of measurements can be collected through dynamic test runs in a short span of time. This paper presents a systematic design of dynamic experiments (DoDEs) for identifiability of model parameters, which is achieved by persistently exciting the inputs signals. A pseudorandom binary sequence (PRBS) is designed as the input signal for DoDE due to its efficiency in obtaining sufficient spectral content. However, due to the long sequence size of the PRBS signal, a Schroeder-phase input signal, which is a multisine signal, is also designed. Tests for both types of signals are run in the Pilot Solvent Test Unit (PSTU) at the National Carbon Capture Center in Wilsonville, Alabama. The transient data are used to solve dynamic data reconciliation and parameter estimation problem. The estimated parameters are found to be not only superior to those estimated from using data collected from hundreds of steady-state test runs in a nonreactive (air–water) system, but the parameters could be estimated by using the dynamic data collected for about 24 h from the pilot plant for the MEA-H 2 O–CO 2 system.

CO2 capture↗
DOE OSTI2022

Experimental Studies of Low-Load Limit in a Stoichiometric Micro-Pilot Diesel Natural Gas Engine

While operating at light loads, diesel pilot-ignited natural gas engines with lean premixed natural gas suffer from poor combustion efficiency and high methane emissions. This work investigates the limits of low-load operation for a micro-pilot diesel natural gas engine that uses a stoichiometric mixture to enable methane and nitrogen oxide emission control. By optimizing engine hardware, operating conditions, and injection strategies, this study focused on defining the lowest achievable load while maintaining a stoichiometric equivalence ratio and with acceptable combustion stability. A multi-cylinder diesel 6.7 L engine was converted to run natural gas premix with a maximum diesel micro-pilot contribution of 10%. With a base diesel compression ratio of 17.3:1, the intake manifold pressure limit was 80 kPa(absolute). At a reduced compression ratio of 15:1, this limit increased to 85 kPa, raising the minimum stable load. Retarding the combustion phasing, typically used in spark-ignition engines to achieve lower loads, was also tested but found to be limited by degraded diesel ignition at later timings. Reducing the pilot injection pressure improved combustion stability, as did increasing pilot quantity at the cost of lower substitution ratios. The lean operation further reduced load but increased NOx and hydrocarbon emissions. At loads below the practical dual-fuel limit, a transition to lean diesel operation will likely be required with corresponding implications for the aftertreatment system.

03 NATURAL GAS↗
NASA NTRS2015

A Validated Task Analysis of the Single Pilot Operations Concept

The current day flight deck operational environment consists of a two-person Captain/First Officer crew. A concept of operations (ConOps) to reduce the commercial cockpit to a single pilot from the current two pilot crew is termed Single Pilot Operations (SPO). This concept has been under study by researchers in the Flight Deck Display Research Laboratory (FDDRL) at the National Aeronautics and Space Administration's (NASA) Ames (Johnson, Comerford, Lachter, Battiste, Feary, and Mogford, 2012) and researchers from Langley Research Centers (Schutte et al., 2007). Transitioning from a two pilot crew to a single pilot crew will undoubtedly require changes in operational procedures, crew coordination, use of automation, and in how the roles and responsibilities of the flight deck and ATC are conceptualized in order to maintain the high levels of safety expected of the US National Airspace System. These modifications will affect the roles and the subsequent tasks that are required of the various operators in the NextGen environment. The current report outlines the process taken to identify and document the tasks required by the crew according to a number of operational scenarios studied by the FDDRL between the years 2012-2014. A baseline task decomposition has been refined to represent the tasks consistent with a new set of entities, tasks, roles, and responsibilities being explored by the FDDRL as the move is made towards SPO. Information from Subject Matter Expert interviews, participation in FDDRL experimental design meetings, and study observation was used to populate and refine task sets that were developed as part of the SPO task analyses. The task analysis is based upon the proposed ConOps for the third FDDRL SPO study. This experiment possessed nine different entities operating in six scenarios using a variety of SPO-related automation and procedural activities required to guide safe and efficient aircraft operations. The task analysis presents the roles and responsibilities in a manner that can facilitate testing future scenarios. Measures of task count and workload were defined and analyzed to assess the impact of transitioning to a SPO environment.

task analysis↗
NASA NTRS2016

Piloted Well Clear Performance Evaluation of Detect and Avoid Systems with Suggestive Guidance

Regulations to establish operational and performance requirements for unmanned aircraft systems (UAS) are being developed by a consortium of government, industry and academic institutions (RTCA, 2013). Those requirements will apply to the new detect-and-avoid (DAA) systems and other equipment necessary to integrate UAS with the United States (U.S) National Airspace System (NAS) and will be determined according to their contribution to the overall safety case. That safety case requires demonstration that DAA-equipped UAS collectively operating in the NAS meet an airspace safety threshold (AST). Several key gaps must be closed in order to link equipment requirements to an airspace safety case. Foremost among these is calculation of the systems risk ratio, the degree to which a particular system mitigates violation of an aircraft separation standard (FAA, 2013). The risk ratio of a DAA system, in combination with risk ratios of other collision mitigation mechanisms, will determine the overall safety of the airspace measured in terms of the number of collisions per flight hour. It is not known what the effectiveness is of a pilot-in-the-loop DAA system or even what parameters of the DAA system most improve the pilots ability to maintain separation. The relationship between the DAA system design and the overall effectiveness of the DAA system that includes the pilot, expressed as a risk ratio, must be determined before DAA operational and performance requirements can be finalized. Much research has been devoted to integrating UAS into non-segregated airspace (Dalamagkidis, 2009, Ostwald, 2007, Gillian, 2012, Hesselink, 2011, Santiago, 2015, Rorie 2015 and 2016). Several traffic displays intended for use as part of a DAA system have gone through human-in-the-loop simulation and flight-testing. Most of these evaluations were part of development programs to produce a deployable system, so it is unclear how to generalize particular aspects of those designs to general requirements for future traffic displays (Calhoun, 2014). Other displays have undergone testing to collect data that may generalize to new displays, but have not been evaluated in the context of the development of an overall safety case for UAS equipped with DAA systems in the NAS (Bell, 2012). Other research efforts focus on DAA surveillance performance and separation standards. Together with this work, they are expected to facilitate validation of the airspace safety case (Park, 2014 and Johnson, 2015). The contribution of the present work is to quantify the effectiveness of the pilot-automation system to remain well clear as a function of display features and surveillance sensor error. This quantification will help enable selection of a minimum set of DAA design features that meets the AST, a set that may not be unique for all UAS platforms. A second objective is to collect and analyze pilot performance parameters that will improve the modeling of overall DAA system performance in non-human-in-the-loop simulations. Simulating the DAA-equipped UAS in such batch experiments will allow investigation of a much larger number of encounters than is possible in human simulations. This capability is necessary to demonstrate that a particular set of DAA requirements meets the AST under all foreseeable operational conditions.

detect and avoid↗
NASA NTRS2017

Analysis of San Francisco Bar Pilot Dispatch Records: Preliminary Report

Maritime pilots licensed by the San Francisco Board of Pilot Commissioners perform safety-critical tasks in a demanding environment, working in all weather and at all times of day and night. Since 1850, San Francisco maritime pilots have been known as Bar Pilots because their duties include guiding ships safely across the large sand bar that lies west of the Golden Gate. Schedules and Work Hours Records for San Francisco Bay Bar Pilots were analyzed to determine the minimum and maximum work periods, the frequency of extended work hours, the frequency of night work and the rotation of work hours. A mathematical model is being applied to predict fatigue in order to identify schedules that may have a high likelihood of fatigue. This presentation provides a progress report on the research thus far.

marine pilots↗
NASA NTRSDate not supplied

The Death of Airmanship: The Urgent Need to Understand Pilot Skills and Knowledge

Aviation awards a special name—airmanship—for the quality of being highly competent in foundational piloting skills, which seem to comprise primarily judgment, decision making, stick-and-rudder skills, and a bit of intuition. The term, which has a mystical quality, has historically resisted analysis; airmanship is acquired solely through experience. The graying of the Boomers and the extreme turbulence of the last few years in commercial aviation have led to a significant loss of those pilots who started out in simpler, round-dial airplanes and made a tortured transition to glass. Those pilots were comfortable disengaging the autopilot at any time, and more importantly, they continued to stay mentally engaged with flight and systems management even as automation continued to encroach on traditional pilot roles. As an industry, we need to prepare for the loss of these pilots by understanding the elements of airmanship and finding a way to replace the competency. The goal is to eliminate “airmanship” by understanding it...by demystifying it. Human factors/cognitive engineering offers tools and methods to develop a system interface that supports skilled performance from the human/technology team. In this presentation, I will talk about my efforts to understand the elements of skilled performance so that they can be trained, or supported by the interface in a seamless manner Specific topics will include the limits of SOP, monitoring for flight path management, alerting non-normals, and autoflight/mode confusion.

pilot skills↗
NASA NTRSDate not supplied

Survey Development and Initial Data: Flight Context and Pilot Techniques in Everyday Flights

The aviation industry is recognizing that flight crews routinely contribute to system safety in ways that go beyond adherence to standard operating procedures (SOPs). Our research goals were to explore a) whether a survey could shed light on pilots' contributions to adaptation and resilience in everyday flights and b) relevant assessment methods. The survey focused on challenges faced by pilots in normal operations, and on the ways that pilots anticipate and monitor those challenges. We collected responses concerning revenue flights from two pilot groups; one group also provided responses concerning a simulated scenario. The results indicated that relatively few flights proceeded exactly as in the original flight plan. Pilots routinely anticipated and adapted to changing circumstances. We discuss some design and assessment challenges encountered for a survey on this topic, we provide 5 approaches to assessment, and we present example findings as illustrations. We hope assessment methods such as these will lead to useful surveys of resilience in flight.

pilot behavior↗
DOE OSTI2024

A Reactor Scale-Up Methodology from Lab-Scale to Pilot-Scale Operations: Numerical Modeling of THFA Dehydration to DHP in Packed-Bed Reactors

This manuscript discusses developing a model-based scale-up methodology for a successful technology transfer of gas-phase catalytic reactors from a lab-scale to a pilot-scale operation. The manuscript demonstrates the methodology for gas-phase dehydration of tetrahydrofurfuryl alcohol (THFA) to dihydropyran (DHP) process over commercial Al 2 O 3 catalysts. A two-dimensional reactor model was developed using COMSOL Multiphysics 6.1 software. The model solves heat and mass transport equations in bed-scale and particle scales simultaneously. This powerful feature enables accurate prediction of the heat and mass transfer limitations in pilot-scale reactors, if any exists. Further, the model uses isothermal lab-scale experimental data to derive and validate the reaction chemistry, flow fields and boundary conditions. The model was then scaled-up to project conversion, selectivity, yield and formation rate of DHP in a pilot-scale reactor. The results highlight the complex nature of chemistry, heat, and mass transfer effects in lab-scale and pilot-scale reactors. The model results inform the possible operational limitations of the pilot-scale reactor and design strategies to improve process efficiency. Although the scale-up approach is explained through the THFA dehydration process, the methodology is applicable to any catalytic packed-bed reactor models for a successful process scale-up.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗
DOE OSTI2025

Cognitive behavioural therapy targeting cardiac anxiety post-myocardial infarction: results from two sequential pilot studies

Abstract Aims Cardiac anxiety, which is cardiac-related fear and avoidance behaviours, is common following myocardial infarction (MI) and has been associated with increased risk for cardiovascular events. However, there are currently no treatments specifically designed to target cardiac anxiety. The aim of the two pilot studies was to evaluate an exposure-based cognitive behavioural therapy protocol (MI-CBT) targeting cardiac anxiety following MI, assessing feasibility, acceptability, and the intervention's potential for reducing cardiac anxiety and improving health-related quality of life (QoL). Methods and results A series of two sequential, uncontrolled pilot studies were conducted. In Pilot Study 1 (n = 15), MI-CBT was delivered via face-to-face videoconference, while Pilot Study 2 (n = 23) was delivered online. Patients with a history of MI (≥6 months before assessment, type 1 ST- or non-ST-segment elevation MI, and elevated cardiac anxiety as per clinical interview) were included. The interventions lasted 8 weeks and were therapist-led, with key components including exposure to cardiac-related symptoms and reduction of avoidance behaviours. Participants completed self-rated assessments, including the Cardiac Anxiety Questionnaire (CAQ) and the 12-Item Short Form Health Survey (SF-12), at baseline, post-treatment, and 6-month follow-up. Treatment adherence and satisfaction were high. Cognitive behavioural therapy led to a large reduction in cardiac anxiety, as measured by the CAQ (P < 0.001), and significant improvements in health-related QoL, as measured by the SF-12 (P < 0.001), in both pilot studies. Conclusion These studies suggest that exposure-based CBT is a feasible, acceptable, and promising approach to reduce cardiac anxiety and improve QoL following MI. A randomized controlled trial should be conducted to evaluate the efficacy of the intervention.

Johnsson, Amanda (ORCID:0009000862983934)↗